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APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN: Punjab MINISTRY OF HEALTH AND FAMILY WELFARE, GOVERNMENT OF INDIA

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IMPLEMENTATION PLAN:

Punjab-2015-16

MINISTRY

OF

HEALTH

AND

FAMILY

WELFARE,

GOVERNMENT

OF

INDIA

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Programme Implementation Plans (PIP) and their approvals in the form of Record of Proceedings (RoP) provide us with an opportunity to assess our progress, limitations and renew our efforts to achieve the Mission goals. Ideally this document must reflect the vision and the direction that healthcare delivery in the concerned state is likely to take. With this RoP conveying the approval of NPCC for the year 2015-16, let us re-affirm our commitment for providing access to equitable and affordable health care. As discussed during the NPCC meetings, we look forward to suggestions from States to accelerate our pace in fulfilling this commitment. While we run our programme with efficiency, we also need to simplify what we are doing.

We would need to continue implementing the approach of focusing our attention and resources on population and areas that have relatively poor health indices. This would help in sharping reduction in IMR, MMR and TFR besides addressing the equity concerns. This approach should be further extended to underserved areas and at sub-district level. Our beginning towards focusing on healthcare of the urban poor and vulnerable population must now start translating into effective health care service delivery to these populations with targeted visibility. We should continue to move away from vertical interventions/programme to a ‘Systems’ approach, among others, to ensure integrated service delivery at all levels of public health facilities. This is in line with our efforts to bridge the fragmentation of care and move towards provision of comprehensive primary health care with effective referral system. This would require strengthening of district hospitals as per IPHS. Secondary healthcare has not received its due attention due to other critical area needing priority attention – It is time we focused on this.

I would also like to emphasize the critical need to focus on FRU operationalization, Quality Assurance, cleanliness of facilities, medical equipment maintenance, provision of free drugs and diagnostics, strengthening institutional mechanism for free drugs and diagnostics, supportive supervision, effective Grievance redressal mechanisms and utilization of data analysis to come up with robust evidence based context specific interventions. I still find that while data is being captured from various sources by the States and districts, the analysis of this data and utilizing it for improving efficiency and effectiveness of programme implementation and policy correction is still a weak area. Continuous assessment and review is important to identify gaps and carry out timely mid-course corrections. The aim of whatsoever we do is to provide Quality healthcare to all. Challenges of access have been addressed to some extent; Quality healthcare delivery continues to challenge us. Let us take this upfront. Each state must clearly spell out how many facilities they would be able to Quality certify during the present year. Let us start measuring ourselves on this yardstick.

This year we have made three notable changes in the RoP. Firstly, activities for unspent balances form part of the RoP as Part D. Secondly, small disease control programmes have been brought under health systems strengthening pool to enable higher resources and integrated approach. Third, the approvals are based on the current sharing pattern but as announced in the Union Budget 2015-16, the

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Last but not the least, we need to simultaneously work towards securing “More money for health and get more health for money”. I look forward to hearing from you on the progress against the approvals soon.

CK Mishra Additional Secretary & Mission Director NHM

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FMR

Code Budget Head Unit cost Quantity/ Target

Amount Proposed (in Lakhs) Amount Approved (in Lakhs) Amount to be taken in case resources are available (in Lakhs) Remarks

A.1.3.1 Home deliveries 500 22000 110 82.5 27.5

Ongoing activity. Approved for 25% of the total approved amount of Rs. 110 Lakh

A.1.3.2 Institutional deliveries

A.1.3.2.a Rural 700 63037 441.26 330.95 110.31

Approved for 25% of the total approved amount of Rs. 441.26 Lakh

A.1.3.4 Incentives to ASHA 561 78500 440.07 330 110.07

Approved for 25% of the total approved amount of Rs. 440.07 Lakh

A.1.6 JSSK- Janani Shishu Surakhsha

Karyakram

A.1.6.1 Drugs and consumables 650 211030 1371.7 823.02 548.68

Approved for 40% of the total approved amount of Rs. 1371.70 Lakh

A.1.6.2 Diagnostic 200 425464 850.93 638.2 212.73

Approved for 25% of the total approved amount of Rs. 850.93 Lakh

A.1.6.4

Diet (3 days for Normal Delivery and 7 days for Caesarean)

360 126618 455.82 273.5 182.32

Approved for 40% of the total approved amount of Rs. 455.82 Lakh

A.1.6.5 Free Referral Transport 300 158273 474.82 356.12 118.7

Approved for 25% of the total approved amount of Rs. 474.82 Lakh

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(in Lakhs) Lakhs) are available (in Lakhs)

A.2.11.1

To provide free treatment to girl child upto five year of age

(approximately 10% of girl child of this age group) - 60000 girl child

200 60000 120 90 30

Approved for 25% of the total approved amount of Rs. 120 Lakh

A.5.1.3 Mobility support for Mobile health

team 30473 258 943.44 707.58 235.86

Approved for 25% of the total approved amount of Rs. 943.44 Lakh A.5.2 Referral Support for Secondary/ Tertiary care (pl give unit cost and unit of measure as per RBSK

guidelines)

1237 99619 1232.29 739.374 492.916 Approved for 40% of the total amount of Rs. 1232.29 Lakh

A.9.5.1.2 IMNCI Training for ANMs / LHVs 235060 25 58.77 35.62 23.15 Approved for 40% of the total amount of Rs. 58.77 Lakh

A.9.5.2.2 F-IMNCI Training for Medical

Officers 292100 16 46.74 35.1 11.64

Approved for 25% of the total approved amount of Rs. 46.74 Lakh

A.9.8.4.3 Orientation Training of MOs of

NHM Programmes 330625 16 52.9 31.74 21.16

Approved for 40% of the total amount of Rs. 52.90 Lakh

A.10.7 Mobility Support, Field Visits

A.10.7.3 BPMU/Block 10000 118 141.6 84.96 56.64 Approved for 40% of the total amount of Rs. 141.60 Lakh

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FMR

Code Budget Head Unit cost

Quantity

/ Target Proposed Amount (in Lakhs) Amount Approved (in Lakhs) Amount to be taken in case resources are available (in Lakhs) Remarks B1.1.1.

2 Module VI & VII 2622 18258 478.72 287.23 191.49

Approved for 40% of the total approved amount of Rs. 487.72 Lakh B1.1.3. 1.1

To Register every Pregnant Woman within three months, Ensuring 3 ANC

Check, 2 TT & Immunization, 100 IFA Tablets and Institutional

Delivery 200 168824 337.65 202.59 135.06 Approved for 40% of the total approved amount of Rs. 337.65 Lakh B1.1.3. 6.1

Incentives for routine activities - Assured monthly package ( of Rs.1000 based on completion of the prescribed activities) 12000 17360 2083.2 1249.92 833.28 Approved for 40% of the total approved amount of Rs. 2083.92 Lakh B1.1.1.

4 Post training support and supervision B1.1.1. 4.1 Supervision costs by ASHA facilitators(12 months) 4000 898 431.04 258.62 172.42 Approved for 40% of the total approved amount of Rs. 431.04 Lakh B4.1.5.

1 New wings (to be initiated this year) 30000000 13 3900 1205 803.26

Approved for 40% of the total approved amount of Rs. 2008.26 Lakh B16.1. 1.3.10 Equipment maintenance (applies for all equipment -

not restricted to Maternal Health) 2260000 0 1 226 135.6 90.4 Approved for 40% of the total approved amount of Rs. 135.60 Lakh B16.1.

6.3.2 Equipment for DEIC 5000000 5 250 150 100

Approved for 40% of the total

approved amount of Rs.

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Lakhs) Lakhs) Lakhs) B.16.2.

5.1 NHM Free Drug services 20 27704234 5540.85 3324.51 2216.34

Approved for 40% of the total approved amount of Rs. 5540.85 Lakh B.16.2.

6.2.a IFA tablets 0.15 64688000 129.38 77.63 51.75

Approved for 40% of the total

approved amount of Rs.

129.38 Lakh B.16.3 Diagnostic services National Free 800

B.16.3. 3 Others 1600 50000 800 600 200 Approved for 25% of the total approved amount of Rs. 800 Lakh

B.23.6 Swachh Bharat Abhiyan 6000000 5 300 180 120

Approved for 40% of the total approved amount of Rs. 300 Lakh TOTAL 4914.00

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Mandatory disclosures

1. The State must ensure mandatory disclosures on the state NHM website of the following and act on the information:

Facility wise deployment of all HR including contractual staff engaged under NHM with name and designation. This information should also be uploaded on HMIS

Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and Minor surgeries etc. on HMIS

MMUs- total number of MMUs, monthly schedule format and service delivery data on a monthly basis capturing information on all fields mentioned in the specified format

Patient Transport ambulances and emergency response ambulances- total number of vehicles, types of vehicle, registration number of vehicles, service delivery data including clients served and kilometer logged on a monthly basis.

All procurements- including details of equipment procured (as per directions of CIC which have been communicated to the States by this Ministry vide letter No 'No.Z.28015/162/2011-H' dated 28th November 2011.) in specified format

Buildings under construction/renovation –total number, name of the facility/hospital along with costs, executing agency and execution charges (if any), date of start & expected date of completion in specified format.

Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise supervisory plan and reports should be uploaded on the website.

NGOs/PPP funded under NHM would be treated as 'public authority' and will fall under the ambit of the RTI Act 2005 under Section 2(h). Further, details of funds allotted /released to NGOs/PPP to be uploaded on website.
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specifically agreed in case of certain areas in hilly States and NE States where presence of bank network is inadequate).

3. Timely updation of MCTS and HMIS data including facility wise reporting

4. Line listing of high risk pregnant women, including extremely anaemic pregnant women and Low Birth Weight (LBW) babies.

KEY CONDITIONALITIES

5. The following key conditionalities would be enforced during the year 2015-16

SL Conditionality Description Source of

Verification & indicator

Incentive/Penalty

1 Reduction in

IMR Percentage decrease over last year SRS Maximum incentive of 5% -  If decrease less than 5% – No Weightage=5 incentive

 If decrease between 5-7%– Incentive of 3%

 If decrease greater than 7% – Incentive of 5%

2 Reduction MMR Percentage decrease over last year (only for 16 States for which IMR is available)

SRS Maximum incentive of 5% - Weightage= 5  If decrease less than 5% – No

incentive

 If decrease between 5-10%– Incentive of 3%

 If decrease greater than 10% – Incentive of 5%

3 Full

Immunization Coverage

During the current FY, as on December31st – Infants fully immunised vs estimated beneficiaries

MCTS Maximum penalty and incentive of 5%. Weightage= 5/(-)5

 If coverage less than 40% – Penalty of 5%

 If coverage between 40-50% – No penalty

 For coverage above 50% up to 100% – Incentive up to maximum of 5%, calculated as

Coverage above 50% 10

i.e. if coverage is 65%, then incentive of 1.5%; and if coverage is 87%, then

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incentive is 3.7%. 4 Functionality of FRUs/ CEmOC facilities (excluding Medical Colleges) Adequacy of “functional” FRUs(conducting C-sections) HMIS Facilities conducting C-Sections:

1. For Large States  Avg. 10 CS/month at DH level  Avg. 5 CS/month at SDH and CHC level. 2. For NE states(excl. Assam), Hilly States Uttarakhand, HP, J&K), UTs (excl. Delhi)  Avg. 6 CS/month at DH level  Avg. 3 CS/ month at SDH and CHC level

Maximum penalty and incentive of 5%. Weightage= 5/(-) 5

Compared to required number of FRUs: 1.On a State-wide basis  If 50-75% FRUs “functional” – 3% penalty  If less than 50% FRUs “functional” – 5% penalty 2.On a State-wide basis, if more

than 75% FRUs “functional”, AND in HPDs -  If less than 50% FRUs “functional” – 5% penalty  If 50-75% FRUs “functional” – 3% penalty  If 75-90% FRUs “functional” – 3% incentive  If more than 90% FRUs “functional” – 5% incentive. 5 Quality

Certification Percentage of District hospitals and CHCs quality certified by State level body.

NHSRC Report Maximum incentive of 5%. Weightage= 5  3% incentive if at least 50% of

DHs certified

 2% incentive if at least 25% of CHCs / Block PHCs certified. 6 JSSK

Implementation Implementation status of JSSK entitlements

MCTFC Report (minimum sample of 300 beneficiaries for each state)

Maximum penalty of 10%. Weightage= (-)10

 More than 50% gap in any of the components (drug, diet, diagnostics and transport) 10% penalty

 Less than 50% but more than 25% gap, 5% penalty

 No penalty if performance more than 75% (based on survey/MCTFC calls)

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7 Governance: Quality of Services and functionality of public health facilities Star rating of facilities

Based on the extent to which

CHCs/PHCs meet the benchmark on key indicators. Five Star indicator Criteria: 1. Human Resource and Infrastructure 2. Service availability 3. Drugs and supplies 4. Client Orientation 5. Service Utilization.

Maximum penalty of 5 %. Weightage=5  To avoid penalty minimum 50 % of

CHCs to have 3 or more star rating

8 Implementation of Free drugs & Diagnostic services

Free drugs &

Diagnostic services to be implemented as per GOI mandate

District report certified by State Nodal officers and assessments made by NHSRC teams and MCTFC.

Maximum incentive of 5% Weightage= 5  90% and above institutions

effectively implementing free drugs & diagnostic services – 5%

 60% to 90% institutions effectively implementing free drugs & diagnostic services – 3%

<60% institutions implementing free drugs & diagnostic services – No incentive (Based on survey/MCTFC calls)

9 Increase in State

Health budget States providing more than 10 % increase in its annual health budget as compared to the previous year.

Maximum incentive 5% Weightage= 5  If no increase / decrease -

No incentive

 If increase is 10 to 15% - 3%

 If increase is > 15% - 5% a) State should ensure expenditure upto 15% by June 2015 and another 30% by September 2015 of

their approved budget under each pool in the FY 2015-16

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c) Urban Health planning cell should be established in the State Health Society (SPMU)1. However, the thematic areas will be appropriately strengthened at the State Health Society and District Health Societies to support both NUHM and NRHM. Parallel structures shall not be created for NRHM and NUHM.

d) State/UT will adopt Competency based Skill Tests and transparency in selection and recruitment of all doctors, SNs, ANMs and LTs sanctioned under NHM.

e) All services under National Health Programme/Schemes should be provided free of cost.

f) Investments in U-PHCs must lead to improved service off take at these facilities, which should be established through a baseline survey & regular reporting through HMIS.

g) The UPHCs should provide the whole range of services enumerated in the NUHM Implementation Framework.

Note: Incentives and disincentives are not applicable under NUHM

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putting in place policies and systems in several strategic areas so that there are optimal returns on investments made under NHM. For effective outcomes, a sector wide implementation plan would be essential; states would be expected to prepare such a plan with effect from next year. Some of the key strategic areas in this regard are outlined below for urgent and accelerated action on the part of the State:

S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED

PUBLIC HEALTH PLANNING & FINANCING

1. Planning and financing Mapping of facilities, differential planning for High priority districts and blocks with poor health indicators; resources not to be spread too thin / targeted investments; at least 10% annual increase in state health budget; addressing verticality in health programmes and planning for integrated delivery of full spectrum of health services; emphasis on quality assurance at least in delivery points.

2. Management strengthening Full time Mission Director for NRHM and a full-time Director/ Jt. Director/ Dy. Director Finance, not holding any additional responsibility outside the health department; fully staffed programme management support units at state, district and block levels; selection of staff to key positions such as head of health at the district and block level and facility-in charge to be based on performance; stability of tenure to be assured; training of key health functionaries in planning and use of data. Strong integration with Health & FW and AYUSH directorates, strengthened DPMUs particularly in HPDs.

3. Developing a strong Public Health

focus Separate public health cadre, induction training for all key cadres; public health training for doctors working in health administrative and programme management positions; strengthening of public health nursing cadre, enactment of Public Health Act.

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4. HR policies for doctors, nurses paramedical staff and programme management staff

Minimizing regular vacancies; expeditious

recruitment (eg. taking recruitment of MOs out of Public Service Commission purview and having campus recruitments/walk in interview); Recruitment of paramedics including ANM , Nurses , LTs etc only after through competency assessment; merit –based public service oriented and transparent selection; opportunities for career progression and professional development; rational and equitable deployment; effective skills utilization; stability of tenure; sustainability of contractual human resources under RCH / NRHM, performance measurement and performance linked payments.

5. HR Accountability Facility based monitoring; incentives for sub-centre team of ANMs , ASHAs and AWWs, the health service providers both individually and for team, for facilities based on functioning; performance appraisal against benchmarks; renewal of contracts/ promotions based on performance; incentives for performance above benchmark; incentives for difficult areas, performance based incentives.

6. Medical, Nursing and Paramedical Education (new institutions and upgradation of existing ones)

Planning for enhanced supply of doctors, nurses, ANMs, and paramedical staff; mandatory rural posting after MBBS and PG education; expansion of tertiary health care; use of medical colleges as resource centres for national health programmes; strengthening/ revamping of ANM / GNM training centres and paramedical institutions; re-structuring of pre service education; developing a highly skilled and specialized nursing cadre, ensuring availability and use of skill labs, Use of tele-education

7. Training and capacity building Strengthening of State Institute of Health & Family Welfare (SIHFW)/ District Training Centres (DTCs); quality assurance; availability of centralized training log; monitoring of post training outcomes; expanding training capacity through partnerships with NGOs / institutions; up scaling of multi skilling initiatives, accreditation of training and trainers STRENGTHENING SERVICES

8. Policies on drugs, procurement

system and logistics management Articulation of policy on entitlements on free drugs for out / in patients; rational prescriptions and use of d r u g s ; tim e l y p r o cu r em e n t o f dr ug s a n d consumables; smooth distribution to facilities from the district hospital to the sub centre; uninterrupted availability to patients; minimization of out of pocket expenses; quality assurance; prescription audits; essential drug lists (EDL) in public domain; computerized drugs and logistics MIS system; setting up dedicated corporation on the lines of eg: TNMSC/RMSC etc.

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9. Equipments Availability of essential functional equipments in all facilities; regular needs assessment; timely indenting and procurement; identification of unused/ faulty equipment; regular maintenance and MIS/ competitive and transparent bidding processes

10. Ambulance Services and Referral

Transport Universal ambulances; reliable, assured free transport for pregnant availability of GPS fitted women and newborn/ infants; clear policy articulation on entitlements both for mother and newborn; establishing control rooms with toll free 102/108 for timely response and provision of services; drop back facility; a prudent mix of basic level ambulances and emergency response vehicles

11. New infrastructure and

maintenance of buildings; sanitation, water, electricity, laundry, kitchen, facilities for attendants

New infrastructure, especially in backward areas; 24x7 maintenance and round the clock plumbing, electrical, carpentry services; power backup; cleanliness and sanitation; upkeep of toilets; proper disposal of bio medical waste; drinking water; water in toilets; electricity; clean linen; kitchens, facilities for attendants

12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable availability to patients; partnerships with private service providers; prescription audits, free for pregnant women and sick neonates, free essential diagnostics.

COMMUNITY INVOLVEMENT 13. Patient’s feedback and grievance

redressal Feedback redressal; analysis of feedback for corrective action, toll free from patients; expeditious grievance help line , clear SOP and protocols to address grievances. 14. Community participation Active community participation; empowered PRIs; strong

VHSNCs; social audit; effective Village Health & Nutrition Days (VHNDs); strengthening of ASHAs; policies to encourage contributions from public/ community

15. IEC Comprehensive communication strategy with a

strong Behavior Change Communication (BCC) component in the IEC strategy; dissemination in villages/ urban slums/ peri urban areas , using mobile networks for BCC/IEC

CONVERGENCE, COORDINATION & REGULATION

16. Inter sectoral convergence Effective coordination with key departments to address health determinants viz. water, sanitation, hygiene, nutrition, infant and young child feeding, gender, education, woman empowerment, convergence with SABLA, SSA, ICDS etc.

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17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be part of active commoditization process; involvement of NGOs in filling service delivery gaps; active community monitoring and action.

18. Private Public Partnership (PPP) Partnership with private service providers to supplement governmental efforts in underserved and vulnerable areas for deliveries, family planning services and diagnostics

19. Regulation of services in the private

sector Implementation of Clinical Establishment Act; quality of services, e.g. safe abortion services; adherence to protocols; checking unqualified service providers; quality of vaccines and vaccinators, enforcement of PC-PNDT Act

MONITORING & SUPERVISION

20. Strengthening data capturing,

validity / triangulation 100% registration of births and deaths under Civil Registration System (CRS); capturing of births in private institutions; data collection on key performance indicators; rationalizing HMIS indicators; reliability of health data / data triangulation mechanisms

21. Supportive Supervision Effective supervision of field activities/ performance; handholding; strengthening of Lady Health Visitors (LHVs), District Public Health Nurses (DPHNs), Multi Purpose Health Supervisors (MPHS) etc.

22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for periodic review and future road map; clear agenda and follow up action; Regular, focused reviews at different levels viz. Union Minister/ Chief Minister/ Health Minister/ Health Secretary/ Mission Director/ District Health Society headed by Collector/ Officers at Block/ PHC level; use of the HMIS/ MCTS data for reviews and corrective action; concurrent evaluation

23. Quality assurance Quality assurance at all levels of service delivery; quality certification/ accreditation of facilities and services; institutionalized quality management systems, achieving Quality Assurance standards for at least 20% of DH&CHCs, adherence to QA guidelines

24. Surveillance Epidemiological surveillance; maternal andinfant death review at facility level and verbal autopsy at community level to identify causes of death for corrective action; tracking of services to pregnant women and children under MCTS

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25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS for tracking ambulances and mobile health units; mobile phones/tablets for real time data entry; video conferencing for regular reviews; closed user group mobile phone facility for health staff; telemedicine and tele education; use of ICT technologies in E- Governance; development of Human Resource Information System (HRIS) and Hospital Management Information System endless opportunities-sky is the limit!

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as well as clearly defines the priority activities that have to be focused on in the current financial year. I. Broad Overview of Activities to be undertaken under NUHM

SERVICE DELIVERY INFRASTRUCTURE:

- Urban - Primary Health Centre (U-PHC): Functional for approximately 50,000 population, the U-PHC would be located within or 500 metres of the slum. The working hours of the U-PHC would be from 12.00 noon to 8.00 pm. The services provided by U-PHC would include OPD (consultation), basic lab diagnosis, drug /contraceptive dispensing and delivery of Reproductive & Child Health (RCH) services, as well as preventive and promotive aspects of all communicable and non-communicable diseases.

- Mobile PHCs: Could be utilized to promote services to the homeless, migrant workers etc.

- Urban-Community Health Centre (U-CHC) and Referral Hospitals: 30-50 bedded U-CHC providing inpatient care in cities with population of above five lakhs, wherever required and 75-100 bedded U-CHC facilities in metros. Existing maternity homes, hospitals managed by the state government/ULB could be upgraded as U-CHCs.

- In towns/ cities, where some sorts of public health institutions like Urban Family Welfare Centres, Urban Health Posts, Maternity Homes etc. run by State Govt/ ULBs exist, such facilities will be efforts will be made to strengthened as U-PHC and U-CHC.

OUTREACH:

- Outreach services will be provided through Female Health Workers (FHWs)/ Auxiliary Nursing Midwives (ANMs) headquartered at the UPHCs.

- ANMs would provide preventive and promotive health care services to households through routine outreach sessions. The special outreach sessions would be conducted for the homeless, migrant workers, street children etc.

- Existing AWCs, infrastructure created under JNNURM and RAY should be utilised for holding of outreach sessions.

- Various services to be delivered at the community level, UPHC and UCHC levels have been elaborated in Table 17-1 of the NUHM Implementation Framework.

- Services under RBSK should also be extended to slum areas.

COMMUNITY MOBILISATION:

- Mahila Arogya Samiti (MAS) – will act as community based peer education group in slums, involved in community mobilization, monitoring and referral with focus on preventive and promotive care, facilitating access to identified facilities and management of grants received.

- Existing community based institutions created under different programme may be utilized for above purpose.

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will be paid performance based incentive at the same rate as under NRHM. However, the states would have the flexibility to either engage ASHA or entrust her responsibilities to MAS. In that case, the incentives accruing to ASHA would accrue to the MAS.

PUBLIC PRIVATE PARTNERSHIPS:

- In view of presence of large number of private (for-profit and not-for-profit) health service providers in urban areas, public-private partnerships particularly with not-for-profit service providers will be encouraged. However, clear and monitor-able Service Level Agreements (SLAs) need to be developed for engagement with Private Sector. The performance of the private service providers should be regularly and strictly monitored.

ROLE OF URBAN LOCAL BODIES

- The NUHM envisages active participation of the ULBs in the planning and management of the urban health programmes.

FUNDING/BUDGET MECHANISM

- Funds will flow to the City Urban Health Society/ District Health Society as the case may be, through the State Government / State Health Society. The SHS/DHS will have to maintain separate accounts for NUHM. State Health Society (SHS) will sign a MoU with the City Health Mission/ Society to ensure that the funds are utilized only for the activities under NUHM.

CONVERGENCE:

- Inter-sectoral convergence with Departments of Urban Development, Housing and Urban Poverty Alleviation, Women & Child Development, School Education, Minority Affairs, Labour will be established through city level Urban Health Committees headed by the Municipal Commissioner/Deputy Commissioner/District Collector/ SDM, as the case may be.

- States are also encouraged to explore possibility of engaging the Railways, ESIC and corporate sector (through Corporate Social Responsibility i.e. CSR) for optimising utilization of resources & service delivery.

- Intra-sectoral convergence is envisaged to be established through integrated planning for implementation of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National Mental Health Programme, and National Programme for Health Care of the Elderly, etc. at the city level. However, support for various interventions under NCDs & Communicable diseases, RMNCH+A should be arranged separately under the respective National health Programmes.

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FMR

Code Budget Head Unit Cost

Quantity

/ Target Proposed Budget (in Lakhs)

Amount Approved (in

Lakhs) Remarks

A REPRODUCTIVE AND CHILD HEALTH 19832.59 15694.88

A.1 MATERNAL HEALTH 4330.69 3019.36

A.1.1

Operationalize Facilities (Any cost other than

infrastructure, HR, Training, Procurement,

Monitoring etc.) may include cost of mapping,

planning-identifying priority facilities, etc)

4.00 4.00

A.1.1.1

Operationalize Safe abortion services (including MVA/ EVA and medical abortion)at

health facilities

400000 1 4.00 4.00

Rs. 4 lakh is approved for Printing of CAC material

and Forms for documentation under MTP

act ( Rs 4 lakh, printing of form C-consent form, form I-RMP opinion form

, Form II, Form 3- admission register , MMA

Follow up card 10000; PAC contraception register. Printing of the

GoI CAC IEC material after translation in Punjabi

with conditionality of availability of this material at designated delivery point

and printing should be done by competitive

bidding.

A.1.2

Integrated outreach RCH services (state should focus

on facility based services and outreach camps to be

restricted only to areas without functional health

facilities)

0.00 0.00

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A.1.3.1 Home deliveries 500 22000 110.00 82.50

Approved for 75% of the total approved amount of Rs. 110 Lakh. Refer to Appendix 1 for remaining

25% of the approval.

A.1.3.2 Institutional deliveries 534.04 423.73

A.1.3.2.a Rural 700 63037 441.26 330.95

Approved for 75% of the total approved amount of Rs. 441.26 Lakh. Refer to Appendix 1 for remaining

25% of the approval.

A.1.3.2.b Urban 600 15463 92.78 92.78 Approved

A.1.3.3 Administrative Expenses 25 100500 25.13 25.13 Approved

A.1.3.4 Incentives to ASHA 561 78500 440.07 330.00

Approved for 75% of the total approved amount of

Rs. 440.07 Lakh. Approved as per JSY norms i.e. Rs. 600 for rural

institutional delivery and Rs. 400 per case for urban

institutional delivery facilitated by ASHAs. Refer to Appendix 1 for

remaining 25% of the approval.

A.1.4 (both in institutions and Maternal Death Review

community) 700 500 3.50 3.50

Rs 3.50 lakhs is approved at the following rates : ASHA incentive for reporting within 24 hrs =

Rs 200/ ,

Review of death by team / block facilitators = Rs

300 as per MDR guidelines Reimbursement to the

family for attending review = Rs 200/ Total being Rs 700x 500

cases =Rs 3.50 lakhs. A.1.5 Other strategies/activities (please specify)

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A.1.6 Surakhsha Karyakram JSSK- Janani Shishu 3213.95 2150.50

A.1.6.1 Drugs and consumables 650 211030 1371.70 823.02

Approved for 60% of the total approved amount of Rs. 1371.70 Lakh. For 160383 pregnant women @ Rs. 350/- for normal delivery, for 50647 pregnant woman @ Rs. 1600/- for C-sections. Refer to Appendix-1 for

remaining 40% of the approval.

A.1.6.2 Diagnostic 200 425464 850.93 638.20

Approved for 75% of the total approved amount of

Rs. 850.93 lakh for provision of diagnostic

facility to all pregnant women during ANC, INC

and PNC. Refer to Appendix-1 for remaining

25% of the approval. A.1.6.3 Blood Transfusion 300 16883 50.65 50.64

Rs.50.64 lakh is approved for provision of blood to all p.w. needing blood, among those accessing govt. health facilities

A.1.6.4 Diet (3 days for Normal Delivery and 7 days for

Caesarean) 360 126618 455.82 273.50

Approved for 60% of the total approved amount of Rs. 455.82 lakhs. Refer to Appendix-1 for remaining

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A.1.6.5 Free Referral Transport 300 158273 474.82 356.12

Approved for 75% of the total approved amount of

Rs. 474.82 lakhs for provision of free home to facility transport and drop back home for all pregnant

women accessing Govt. health facilities for delivery and to those p.w. requiring inter facility transfer. No cash reimbursement is to be given and assured RT is

to be made available. Besides this, if RT is being sanctioned under any other

head, then the amount indicated here needs to be

deducted from the operational cost. Refer to Appendix-1 for remaining

25% of the approval.

A.1.6.6 Other JSSK activity 10.04 9.02

A.1.6.6.1 MVA Drugs - MTP 9.50 32000 3.04 3.02

Rs.3.02 lakh is approved for MVA drugs Tb. Mifepristone 200 mg 7000 tablet @ Rs. 36.42/- per tablet=254940/- Tab. Misoprostol 200 mcg- 25000 Tablets @ Rs. 1.89/- per tablet = 47250/-. Procurement should be done by competitive bidding. A.1.6.6.2 Mva Equipment - Kit Cost 2000 350 7.00 6.00

Rs. 6 lakhs is approved. Procurement should be based on competitive

bidding. Sub-total Maternal Health

(excluding JSY) 3221.45 2158.00

Sub-total JSY 1109.23 861.36

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A.2.2

Facility Based New-born Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,

Infrastructure, procurement, training, IEC

etc.) e.g. operating cost rent, electricity etc. imp rest

money

132.84 44.78

A.2.2.1 SNCU 250000 25 62.50 7.50

Approved for 13 functional SNCUs on normative basis. State to

rationalize as per unit's requirement.

A.2.2.1.1 SNCU Data management 10000 25 22.50 7.50

Approved for procurement of computes, broadband

connection, telephone connection, etc @ Rs 30,000/SNCU for 25

SNCUs.

State may propose budget for DEOs under the head of HR with clear budgetary

proposal.

A.2.2.2 NBSU 48000 78 37.44 26.88 @ Rs. 48000/- per NBSU Approved for 56 NBSUs

A.2.2.3 NBCC 5000 208 10.40 10.40 Approved

A.2.3 Home Based Newborn Care/HBNC 425.00 0.00

A.2.3.1 Visiting newborn in first 42 days of life 250 170000 425.00 0.00 Shifted to B.1.1.3.2.1

A.2.8 Child Death Review 600 8496 50.98 50.98

Approved with the conditionality that state

shares regular reports with CH Division Govt.

of India and the expenditure is as per CDR Guidelines, 2014

(on actuals). A.2.10 JSSK (for Sick infants up to 1 year) 172.31 145.09

A.2.10.1 Drugs & Consumables (other than reflected in Procurement) 200 42546 85.09 85.09 Approved for drugs and consumable under JSSK for all sick infants.

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A.2.10.2 Diagnostics 100 42546 42.55 42.55 services under JSSK for all Approved for Diagnostics sick infants.

A.2.10.3 Free Referral Transport 150 29782 44.67 17.45

Rs. 17.45 lakh is approved for 11633 sick infants @Rs. 150 for provision of

all the 3 modes of referral transport to sick children accessing Govt. health

facilities. No cash reimbursement is to be given and assured RT is to be made available. Besides

this, if RT is being sanctioned under any other

head, then the amount indicated here needs to be

deducted from the operational cost. A.2.11 Any other interventions (eg; rapid assessments, protocol

development) 120.00 90.00

A.2.11.1

To provide free treatment to girl child up to five year of age

(approximately 10% of girl child of this age group) -

60000 girl child

200 60000 120.00 90.00

Approved for 75% of the total approved amount of

Rs. 120.00 Lakh with conditionality that state shares the progress of this activity with GOI. Refer to

Appendix-1 for remaining 25% of approval.

Sub-total Child Health 901.13 330.85

A.3 FAMILY PLANNING 743.75 743.22

A.3.1 Terminal/Limiting Methods 596.25 596.03

A.3.1.2 NSV camps 17500 44 7.70 7.70 Approved for 44 camps @ Rs. 17500/camp

A.3.1.3

Compensation for female sterilization

(Provide breakup: APL (@Rs 650)/BPL (@Rs 1000) ;

Public Sector (@Rs 1000)/Private Sector (@Rs

1500))

767 65000 498.55 498.33

Approved for 43333 cases @ Rs. 650 per case and 21667 @ Rs. 1000/- per case for BPL beneficiaries.

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A.3.1.4 sterilization/NSV (@Rs Compensation for male

1500) 1500 6000 90.00 90.00 Approved

A.3.2 Spacing Methods 77.50 77.50

A.3.2.2

Compensation for IUCD insertion at health facilities (including fixed day services at

SHC and PHC) [Provide breakup: Public Sector (@Rs.

20/insertion)/Private Sector (@Rs. 75/insertion for EAG

states)]

20 200000 40.00 40.00 Approved for 2,00,000 insertions @Rs. 20/insertion

A.3.2.3 PPIUCD services (Incentive to provider @Rs 150 per

PPIUCD insertion) 150 25000 37.50 37.50

Approved for approval for 25000 insertions @Rs. 150/insertion for provider

incentive A.3.3

POL for Family Planning/ Others (including additional mobility support

to surgeon's team if req)

24 14.40 14.40 Approved

A.3.5 Other strategies/activities: 30.60 30.29

A.3.5.1 Orientation workshop,QAC meetings 150000 1 1.50 1.50 Approved

A.3.5.2 FP review meetings 2500 92 2.30 2.26

Approved for Quarterly meeting at District level @

Rs. 2000/- per meeting and 2 meetings at State level @ Rs. 25,000/- per

meeting

A.3.5.4

World Population Day’ celebration (such as mobility,

IEC activities etc.): funds earmarked for district and

block level activities

7000 141 9.87 9.60 Approved

A.3.5.5

Other strategies/activities (such as strengthening fixed day services for IUCD

& Sterilisation, etc.)

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A.3.5.5.1 Printing of FP Manuals, Guidelines, etc. 2.93 578000 16.93 16.93

Approved for Printing of sterilization files (1.25 Lakh files @ Rs. 2.74), Sterilization cards 1.00 lakh cards @ Rs. 1), NSV Cards (0.25 lakh cards @ Rs. 1),

IUCD Cards (2.75 lakh cards @ Rs. 3), printing of

guidelines & manuals on FDS, SOPs & repositioning of IUCD (3000 @ Rs. 50), printing

broachers on E-pill & IUCD (50000 @ Rs. 5)

and other printing

A.3.6 Family Planning Indemnity Scheme 1 25.00 25.00 Approved

Sub-total Family Planning

Compensation 666.05 665.83

Sub-total Family Planning

(excluding compensation) 77.70 77.39

A.4 ADOLESCENT HEALTH / RKSK (Rashtriya Kishore

Swasthya Karyakram) 28.30 15.42

A.4.1 Facility based services 28.30 15.42

A.4.1.1 Dissemination/meetings/workshops/review for AH (

including WIFS, MHS) 5130 92 4.72 1.56

Approved for 2 state level meetings @ Rs. 30,000/-each +quarterly meetings in 6 RKSK districts @ Rs.

4,000/- each A.4.1.4 Operating expenses for existing clinics 10000 183 18.30 9.90 Approved for existing clinics A.4.1.5 ARSH/ICTC counsellors Mobility support for 4800 110 5.28 3.96

Approved at Rs. 600 per AH counsellor/month for undertaking at least 4 visits per month for 6 months Sub-total Adolescent

Health 28.30 15.42

A.5 RBSK 2284.08 1555.26

A.5.1 Operational Cost of RBSK (Mobility support,DEIC

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A.5.1.1 Prepare and disseminate guidelines for RBSK 555 5500 30.53 30.50

Rs 30.50 lakhs is approved for printing of 2500 RBSK guidelines @ Rs. 100/- each, 1000 Resource Material Book @ Rs. 2000/- each, 1000 Job Aids Books @ Rs. 700/-

each and 1000 set of reference charts @ Rs. 100 each. Expenditure is as per actuals and following state

rules and regulations.

A.5.1.2

Prepare detailed operational plan for RBSK across districts

(cost of plan/ convergence/monitoring meetings should be kept

seperately)

45000 3 1.35 1.35

Approved for 3 State level interdepartmental meetings

@ Rs 45000 per meeting. Conditionality Department

of education, Women and child development, tribal welfare and social justice to

participate in the meetings. Each mobile team to have developed yearly micro plans for respective area.

A.5.1.3 Mobility support for Mobile health team 30473 258 943.44 707.58

Approved for 75% of the total approval of Rs. 943.44 Lakh for hiring of dedicated 258 vehicles for RBSK mobile health teams

@ Rs 30000 per vehicle per month for 12 months.

State rules and regulation for hiring of vehicles are applicable. Rs 2.64 lakhs is

approved for 2 visits per month by District nodal officers/ coordinator @ Rs 5000 per visit for 12 months and Rs 12000 per

month for visit by State Nodal

officer/coordinators. Conditionality action taken

report of field visit observations by State and

district officials to be maintained at District and

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State level. Refer to Appendix-1 for remaining

25% of approval.

A.5.1.6

Operational Expenditure for districts @ Rs. 8000 per month and Rs. 20000 per

month for State Health

11715 140 16.40 16.40

Rs 16.4 lakhs is approved for 22 Districts & 118

blocks. Operational expenditure at Rs.10000/-

per Districts and Rs.10000/- per block.Rs.20000/- as operational expenditure per month at State level for

12 months

A.5.1.7

Furniture for Mobile Health Team - 1400 Chairs, 280 Table, 280 Steel Almirah , 280

Stools & 140 computer table

2524 2380 60.07 60.06

Approved for 22 districts and 118 blocks for furniture for RBSK mobile

teams for 10 Chair-Rs.1600/-, 2 Tables & 1 computer table @ Rs.3100/-each , 2 Steel Almira @ Rs.8000/-, 2 Stools @Rs.800/- each. Expenditure is as per actuals and in accordance to State procurement rules

and regulations.

A.5.2

Referral Support for Secondary/ Tertiary care (pl give unit cost and unit

of measure as per RBSK guidelines)

1237 99619 1232.29 739.37

Approved 60% of the total approved amount of Rs. 1232.29 Lakh for secondary/ tertiary care

for estimated 61,911 children for selected health conditions under RBSK as per guidelines. Committed unspent amount of RS 600 lakhs is also considered. Illustrative Details is in annexure A5.2.a. Conditionality State to

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follow RBSK Guidelines for secondary tertiary

care for disease, procedures and costing. State to submit FY 2014-15 physical and financial

achievement and physical achievement (name wise details) of FY 2015-16 in monthly

report of RBSK. Primary Immuno Deficiency Disorder (PID), is not part of the

selected health conditions under RBSK as per RBSK guidelines and the approval for secondary and tertiary care is as per procedure

and costing guidelines of RBSK State is using fund for diseases which are not covered under RBSK in PIP for FY 2014-15. Refer

Appendix 1 for remaining 40% of the

approval.

Sub-total RBSK 2284.08 1555.26

A.7 PNDT Activities 143.44 143.44

A.7.1 Support to PNDT cell 1 80.04 80.04 Approved

A.7.2 Other PNDT activities (please specify) 49.00 49.00 A.7.2.5 Workshops, campaigns and District Level PNDT

other activities 200000 22 44.00 44.00 Approved

A.7.2.6

Orientation of programme managers and service providers on PC & PNDT

Act

125000 4 5.00 5.00 Approved

A.7.3 Mobility support 24 14.40 14.40 Approved

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A.8 Human Resources 8509.30 7373.91

A.8.1 Contractual Staff & Services 8509.30 7373.91 A.8.1.1 ANMs,Supervisory Nurses, LHVs 1511 4442.97 3884.27

A.8.1.1.1 ANMs 1511 1994.52 1728.76 A.8.1.1.1 .f Sub Centres 11000 1511 1994.52 1728.76 Approved existing 1,411 ANMs @ Rs. 10210 /-pm (5% increment in the existing salary of Rs. 9,723/-pm).

A.8.1.1.2 Staff Nurses 2448.45 2155.51

A.8.1.1.2 .a DH 14520 173 301.44 2155.51 Approved existing 1,296 staff nurses @ Rs. 13,860/-(5% hike in the existing salary of Rs 13,200/-) for 12 months. A.8.1.1.2 .b FRUs 14520 596 1038.47 A.8.1.1.2 .c Non FRU SDH/ CHC A.8.1.1.2 .d 24 X 7 PHC 14520 586 1021.05 A.8.1.1.2 .e Non- 24 X 7 PHCs A.8.1.1.2

.f SNCU/ NBSU/NRC etc 10000 125 87.50 0.00 Approval Pended.

A.8.1.3 Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sinologist, Pathologist, Specialist for

CHC )

609.00 589.50

A.8.1.3.1 Obstetricians and Gynaecologists 198.00 189.00

A.8.1.3.1

.a DH 55000 5 33.00 31.50

Approved for continuing 5 OBG specialists @ 52500/-(5% hike in the existing salary of Rs 50,000/-) for 12 months A.8.1.3.1 .b FRUs 55000 25 165.00 157.50

Approved for continuing 25 OBG specialists @ 52500/-(5% hike in the

existing salary of Rs 50,000/-) for 12 months

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A.8.1.3.2

.b FRUs 55000 35 231.00 220.50

Approved for continuing 35 Paediatricians @ Rs. 52500/-(5% hike in the existing salary of Rs 50,000/-) for 12 months A.8.1.3.3 Anaesthetists 180.00 180.00 A.8.1.3.3 .b FRUs 30000 50 180.00 180.00

Approved for hiring 50 Anaesthetists @ 30,000/-

for 12 months. A.8.1.4 PHNs at CHC, PHC level

A.8.1.5 Medical Officers 183 885.80 711.90

A.8.1.5.4 24 X 7 PHC 44000 100 528.00 504.00

Approved for continuing 100 MOs @ Rs.

42,000/-(5% hike in the existing salary of Rs. 40,000/-) for

12 months

A.8.1.5.6 MOs for SNCU/ NBSU/NRC etc 40000 50 140.00 0.00

Approval Pended. State to submit revised proposal

with specific inputs on facility wise HR

requirements.

A.8.1.5.7 Other MOs 55000 33 217.80 207.90

Approved for continuing 33 MOs @ Rs.

52,500/-(5% hike in the existing salary of Rs. 50,000/-) for

12 months A.8.1.6 Additional Allowances/ Incentives to M.O.s

A.8.1.7 Assistants/ BCC Co-Others - Computer

ordinator etc 1113 1855.24 1853.12

A.8.1.7.3 OT technicians/assistants 10 15.74 15.12 A.8.1.7.3

.b FRUs 13120 10 15.74 15.12

Approved for continuing 10 OT Technicians @ Rs.

12,600/-(5% hike in the existing salary of Rs. 12,000/-) for 12 months A.8.1.7.4 mobile health team & DEIC RBSK teams (Exclusive

Staff) 968 1674.50 1674.50

Sub Total RBSK mobile

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A.8.1.7.4

.1 MOs- AYUSH/MBBS 20000 387 928.80 928.80

Approved for 387 AYUSH MOs for 12 months @ Rs

20000 per month for 12 months. Each team to have two AYUSH MOs -

one male and one female A.8.1.7.4

.2 Staff Nurse/ ANM 10000 258 309.60 309.60

Approved for 258 ANMs @ Rs 10000 per month for

12 months. A.8.1.7.4

.3 Pharmacists 10000 258 309.60 309.60

Approved for 258 Pharmacists @ Rs 10000 per month for 12 months. A.8.1.7.4

.4 DEIC 65 126.50 126.50

A.8.1.7.4

.4.a Pediatrician 50000 5 25.00 25.00

Approved for 5 paediatricians one per DEIC @ RS 50000 per

month for 10 months. A.8.1.7.4

.4.b MO, MBBS 40000 5 20.00 20.00

Approved for 5 MBBS MOs one per DEIC @ RS

40000 per month for 10 months.

A.8.1.7.4

.4.c MO, Dental 27000 5 13.50 13.50

Approved for 5 Dental MOs one per DEIC @ RS

27000 per month for 10 months.

A.8.1.7.4

.4.d SN 10000 5 5.00 5.00

Approved for 5 SNs one per DEIC @ RS 10000 per

month for 10 months. A.8.1.7.4

.4.e Physiotherapist 20000 5 10.00 10.00

Approved for 5 Physiotherapists one per

DEIC @ RS 20000 per month for 10 months. A.8.1.7.4

.4.f Audiologist & speech therapist 20000 5 10.00 10.00

Approved for 5 Audiologist & speech therapists one per DEIC

@ RS 20000 per month for 10 months. A.8.1.7.4

.4.g Psychologist 15000 5 7.50 7.50

Approved for 5 Psychologists one per DEIC @ RS 15000 per

month for 10 months. A.8.1.7.4

.4.h Optometrist 12000 5 6.00 6.00

Approved for 5 Optometrists one per DEIC @ RS 12000 per

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A.8.1.7.4

.4.i Early interventionist cum special educator 19000 5 9.50 9.50

Approved for 5 Early interventionist cum special

educators one per DEIC @ Rs 19000 per month for

10 months. A.8.1.7.4

.4.j Social worker 10000 5 5.00 5.00

Approved for 5 Social workers one per DEIC @

RS 10000 per month for 10 months. A.8.1.7.4

.4.k Lab technician 10000 5 5.00 5.00

Approved for 5LTs one per DEIC @ RS 10000 per

month for 10 months. A.8.1.7.4

.4.l Dental technician 10000 5 5.00 5.00

Approved for 5Dental technicians one per DEIC

@ RS 10000 per month for 10 months. A.8.1.7.4

.4.m Data entry operator 10000 5 5.00 5.00

Approved for 5 DEOs one per DEIC @ RS 10000 per

month for 10 months.

A.8.1.7.5 Others 135 165.00 163.50

A.8.1.7.5

.1 RMNCH/FP Counsellors 11000 25 33.00 31.50

Approved for continuing 25 RMNCH Counsellors @ Rs. 10,500/-(5% hike in

the existing salary of Rs. 10,000/-) for 12 months A.8.1.7.5

.2 Adolescent Health counsellors 10000 110 132.00 132.00

Approved for continuing 110 Adolescent Counsellors @ Rs. 10,000

as proposed. A.8.1.10 Other Incentives Schemes (Pl. Specify) 86348 489.72 234.32

A.8.1.10. 1

Incentive to Specialists- Obst & Pediatricians for difficult areas (11 SDHs, 73 CHCs) @ Rs. 5000/- per month and for more difficult areas (3 SDHs, 33 CHCs) -@ Rs. 10000/- per

month.

(Rs. 30000 PM in selected institutions of HPDs and district Ferozepur & Fazilka and SBS Nagar where there is acute shortage of Specialists -

Approximately 28)

7000 268 225.12 219.72

Approved Rs 219.72 Lakh for incentives to specialists (OBG & Paediatricians) Rs

5000/- pm for difficult areas (11 SDH, 73 CHC),

Rs 10,000/-pm for more difficult areas (3 SDH, 33 CHC) and Rs 30,000/-pm

for selected facilities of HPDs and district Ferozepur, Fazillka and

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A.8.1.10.

2

Incentives to EMOC team at FRU for section after 5 C-sections at SDH/ CHC level and 10 C-section at DH level (restricted upto 20% C-section

of total deliveries)

3000 4000 120.00 0.00 Approval pended.

A.8.1.10. 3

Incentives to Female Medical Officers and Staff Nurses for for institutional deliveries after

15 deliveries per month at PHC and 50 deliveries per

month at CHC

300 25000 75.00 0.00

Approval pended. Should be restricted to HPDs and

modified as indicated in PBI guideline.

A.8.1.10. 4

Incentives to Female Medical Officers/ Gynaecologists for

weekly Health Clinics for female prison inmates in all prisons of the State - Rs. 1000

per visit

1000 80 9.60 9.60 Rs. 9.60 lacs is approved @Rs. 1000 per visit

A.8.1.10. 5

Incentive to ANMs for identification, line listing of

severely anaemic pregnant women and confirmation of HB %age more than 7 gm @

Rs. 100/-

100 5000 5.00 5.00

Rs. 5 lakh is approved as incentive only in HPDs as per PBI guideline@100 rs

per case

A.8.1.10. 6

Incentive to ANMs for identification, line listing of High Risk Pregnancy as per GoI conditions of at least 7%

High Risk Cases out of total ANC registered in HPDs

250 2000 5.00 0.00 Approval pended.

A.8.1.10. 7

Incentive to ANMs for achieving more than 70% pregnancy registration in the

1st trimester Rs. 100/- per case

100 50000 50.00 0.00 Approval Pended

A.8.1.11 Support Staff for Health Facilities 236 226.56 100.80

A.8.1.11.

d 24 X 7 PHC 8000 236 226.56 100.80

Approved. State needs to outsource security and sanitation services at all the

24X7 PHCs which are DELIVERY POINTs @ Rs 8000/- as proposed. (NOTE: as per MH Annexure Dec 2014, 105 of 215 24X7 PHCs (49%)

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are DPs.

Sub-total HR 0 8509.30 7373.91

A.9 TRAINING 827.75 660.97

A.9.2 Development of training packages 17.05 17.05

A.9.2.1 Development/ translation and duplication of training materials

100000

0 1 10.00 10.00 Approved

A.9.2.2 Other activities (pl. specify) 7.05 7.05

A.9.2.2.1 Public Health and Purchase of Subscription of Journals of Books

500000

0 1 5.00 5.00 Approved

A.9.2.2.3 Workshop of District Training Orientation Training

Cell 145245 1 1.45 1.45 Approved

A.9.2.2.4 Meetings/ Review Meetings 15000 4 0.60 0.60 Approved

A.9.3 Maternal Health Training 255.64 205.78

A.9.3.1 Skilled Attendance at Birth / SBA 77.87 77.88

A.9.3.1.3 Training of Staff Nurses in SBA 117990 50 59.00 59.00 Approved A.9.3.1.4 Training of ANMs / LHVs in SBA 117990 16 18.88 18.88 Approved

A.9.3.2 EmOC Training 89.36 57.53

A.9.3.2.1 Setting up of EmOC Training Centres 3183500 1 31.84 0.00 Not approved.

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A.9.3.2.3 Training of Medical Officers in EmOC 1700860 3 51.03 51.03

Rs.51.03 lakh is approved for 3 batches of medical

officer in EmOC @Rs. 17,00,860 per batch. Expenditure should be as per RCH norms. Approval

is subject to 1. Nomination of trainers for EmOC training should

be from designated CHC,FRUs and after training to be posted to

these CHC and FRU. 2. A clear cut positioning order to be issued for these

MOs at the time of nomination. 3. Training should be conducted as per RCH

norms of training. 4. Cost includes running

cost for EmOC nodal centre. A.9.3.4 training (including MVA/ Safe abortion services

EVA and Medical abortion) 6.83 6.83

A.9.3.4.2 Training of Medical Officers in safe abortion 62100 11 6.83 6.83 Approved.

A.9.3.5 RTI / STI Training 14.56 14.56

A.9.3.5.2 technicians in RTI/STI Training of laboratory 66413 4 2.66 2.66 Approved A.9.3.5.3 Training of Medical Officers in RTI/STI 79350 15 11.90 11.90 Approved

A.9.3.6 B-Emoc Training 16.56 16.56

A.9.3.6.2 BEmOC training for MOs/LMOs 110400 15 16.56 16.56 Approved A.9.3.7 training (please specify) Other maternal health 50.46 32.42

A.9.3.7.1 Annual Refresher Training for EmOC trained Medical

Officers 506460 1 5.06 5.06 Approved

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A.9.3.7.4 LHV/ ANMs on RTI/ STI Training of Staff Nurses/ 78775 14 11.03 11.03 Approved A.9.3.7.5 Training Workshop on quality of Care for RMNCH+A

Services 648600 2 12.97 0.00 Not approved

A.9.3.7.6 CME on Protocols for MCH Services 506000 1 5.06 0.00 Not approved. A.9.3.8 Blood Storage Unit (BSU) Training

A.9.4 IMEP Training 23.06 20.54

A.9.4.2 district programme managers 125925 IMEP training for state and 3 3.78 1.26

One batch of IMEP training for the State and

District Programme managers @ Rs.1.26 Lakh

is approved. Trg. curriculum should include

Swachhta Guidelines, launched by the MoHFW

on 15th May 2015.

A.9.4.3 IMEP training for medical officers 125925 7 8.81 8.81

Approved. Training curriculum should include

Swachhta Guidelines, launched by the MoHFW

on 15th May 2015

A.9.4.4 Others 104650 10 10.47 10.47

Approved. Training curriculum should include

Swachhta Guidelines, launched by the MoHFW

on 15th May 2015.

A.9.5 Child Health Training 252.21 179.32

A.9.5.1 IMNCI Training (pre-service and in-service) 58.77 35.62

A.9.5.1.2 IMNCI Training for ANMs / LHVs 235060 25 58.77 35.62 Approved

A.9.5.2 F-IMNCI Training 94.62 82.97

A.9.5.2.1 TOT on F-IMNCI 344540 1 3.45 3.45 Approved

A.9.5.2.2 F-IMNCI Training for Medical Officers 292100 16 46.74 35.10 Approved A.9.5.2.3 F-IMNCI Training for Staff Nurses 222180 20 44.44 44.42 Approved

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A.9.5.5.1 NSSK Training 48.39 48.38

A.9.5.5.1

.2 NSSK Training for Medical Officers 124200 12 14.90 14.90 Approved A.9.5.5.1

.3 NSSK Training for SNs 83720 20 16.74 16.74 Approved

A.9.5.5.1

.4 NSSK Training for ANMs 83720 20 16.74 16.74 Approved

A.9.5.5.2 Other Child Health training 50.43 12.35

A.9.5.5.2

.a 4 days Training for facility based newborn care 0 0.00 7.61

Approved for 11 batches @ Rs.0.692lakhs per batch.

State to note that FBNC training is for duration of 4

days and not 42 as projected in annexure.

Hence the approved budget is lesser than projected. Shifted from

A.9.5.5.2d A.9.5.5.2

.d SNCU Training of Medical Officers and Staff Nurses 411600 11 45.28 0.00 Shifted to A.9.5.5.2a A.9.5.5.2

.e FBNC TOT 515660 1 5.16 4.74

Approved as per FBNC guidelines.

A.9.6 Family Planning Training 46.39 46.40

A.9.6.1 Laparoscopic Sterilization Training 5.70 5.70 A.9.6.1.2 training for doctors (teams of Laparoscopic sterilization

doctor, SN and OT assistant) 51808 11 5.70 5.70 Approved

A.9.6.2 Minilap Training 5.70 5.70

A.9.6.2.2 Minilap training for medical officers 51808 11 5.70 5.70 Approved A.9.6.3 Non-Scalpel Vasectomy (NSV) Training 2.66 2.66

A.9.6.3.2 NSV Training of medical officers 37950 7 2.66 2.66 Approved

A.9.6.4 IUCD Insertion Training 16.70 16.70

A.9.6.4.5 Training of ANMs / LHVs 69575 24 16.70 16.70 Approved A.9.6.7 Contraceptive Update Seminar/Meeting 39100 40 15.64 15.64 Approved

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A.9.8

Programme Management Training (e.g. M&E, logistics management,

HRD etc.)

168.63 127.11 A.9.8.4 Other training (pl. specify) 168.63 127.11

A.9.8.4.1 BCC Skill Building Training of MOs,DMEIOs, BCC Facilitators

26191

3 14 36.67 16.31

Approved at last year’s rate i.e. District MEIOs, ANMs, LHVs, MPHW (M), HA (M), BEE, Dy. MEIO, at SIHFW, Mohali

and HFWTC @ Rs.1.10 L/batch for 7 batches and

for Medical Officers at SIHFW, Mohali and HFWTC, Amritsar @ Rs.1.23 L/batch for 7

batches A.9.8.4.2 Orinetation Training of newly promoted SMOs 22425

0 5 11.21 11.21 Approved

A.9.8.4.3 Orinetation Training of MOs of NHM Programmes 33062

5 16 52.90 31.74 Approved

A.9.8.4.4 Induction Training of Newly Recruited Medical Officers 48300

0 5 24.15 24.15 Approved

A.9.8.4.5 Orientation Training of MPHW (M) 21850

0 20 43.70 43.70 Approved

A.9.11 Training (Other Health Personnel) 33.95 33.95

A.9.11.2 Training of ANMs, Staff nurses, AWW,AWS 77155 44 33.95 33.95 Rs. 33.95 lakh

A.9.12 RBSK training 30.82 30.82

A.9.12.1 Mobile health team – technical RBSK Training -Training of

and managerial (5 days) 124500 22 27.39 27.39 Approved A.9.12.2 RBSK DEIC Staff training (15 days) 343000 1 3.43 3.43 Approved

Sub-total Training 827.75 660.97

A.10 MANAGEMENT PROGRAMME 2064.16 1852.45

A.10.1 society/ State Programme Strengthening of State

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42

Contractual Staff for SPMSU

recruited and in position 235.11 215.77

A.10.1.1 State Programme Manager 180000 1 21.60 21.60 1,80,000/-pm from regular Approved 1 SPM @ cadre.

A.10.1.2 State Accounts Manager 46707 1 5.60 5.35

Approved 1 Manager Finance & Accounts @ Rs.

44,585/-pm (5% hike in the existing salary of Rs.

42,461/-pm) for 12 months.

A.10.1.4 State Data Manager 44564 1 5.35 5.10

Approved 1 Manager Monitoring & Evaluation

@ Rs. 42,540/-pm (5% hike in the existing salary of Rs. 40,513/-pm) for 12

months.

A.10.1.5

Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS, RBSK, MHS

etc.)

42449 13 66.22 63.71

Approved following existing positions with 5%

hike in existing salary: - Specialist MH @ Rs.

44,230 pm - Specialist CH and FP (1

each) @ Rs. 41,950 pm - Programme Officers for ARSH & Gender, WIFS &

MHS, and RBSK (1 each - 3 total) @ Rs. 40,425 pm - 2 AYUSH Consultants @

Rs. 42,000 pm - State NGO Coordinator

@ Rs. 51,070 pm - HR Manager @ Rs.

42,540 pm - 1 each Manager for

Infrastructure and Procurement @ Rs. 31,500

pm

- Programme Officer BCC @ Rs. 40,900 pm

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43

A.10.1.6 Programme Assistants 19587 3 7.05 6.74

Approved for existing 2 Program Assistants @ Rs.

20,470/-pm each & 1 Procurement Assistant @

Rs. 15,200/-(5% hike in the existing salary of Rs 19,494/-pm & 14,469/-pm

respectively) for 12 months.

A.10.1.7 Accountants 15462 3 5.57 5.32

Approved for existing 1 Accountant @ Rs.

17,020/-pm & 2 Accountants @ Rs. 13,650/- pm each (5% hike

in the existing salary of Rs 16206/-pm & 13,000/-pm

respectively) for 12 months.

A.10.1.8 Data Entry Operators 10000 15 18.00 16.88

Approved existing 15 Data Entry Operators @ Rs. 9,380/-pm/-(5% hike in

the existing salary of Rs 8932/-pm) for 12 months.

A.10.1.9 Support Staff (Kindly Specify) 12476 20 29.94 28.58

Approved existing 19 Support Staff @ Rs 11550/-pm & 1 Support Staff @ Rs 18710 /-(5% hike in the existing salary of Rs 11,000/-pm & 17,816/-pm respectively)

for 12 months. A.10.1.1

0 Deputation (Please specify) Salaries for Staff on 70000 1 8.40 8.40

Approved 1 Director Finance on deputation @

Rs 70,000/-pm/-for 12 months. A.10.1.1

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44

A.10.1.1

1.1

Assistant Managers - 1 Finance,1 HRIS, 1 M&E, 4

Accounts Officers and 1 School Health Coordinator + 2 positions of HR Executives

23775 10 28.53 23.79

Approved following positions with 5% hike in

existing salary: - 1 each Assistant Manager

Finance and M&E @ Rs. 23,100 pm - HRIS Coordinator @ Rs. 26,940 pm - 4 Account Officers @ Rs. 25,710 pm - School Health Coordinator @ Rs. 22,260 pm 2 new positions of HR Executives not approved. A.10.1.1

1.2 Hardware Supervisor/System Analyst 29181 3 10.51 10.03

Approved existing 1 Hardware Supervisor @ Rs. 27,115/-pm & 2 System Analysts @ Rs. 28,225 /-(5% hike in the existing salary of Rs. 25,822/-pm & Rs. 26,879/-pm respectively) for 12 months. A.10.1.1

1.3 BCC Facilitator and Art and Exhibition Expert 15675 2 3.76 3.59

Approved existing 1 BCC Facilitator @ Rs.

15,200/-pm & 1 Art cum Exhibition Expert @ Rs. 14,700 /-(5% hike in the existing salary of Rs. 14,469/-pm & Rs. 14,000/-pm respectively) for 12 months. A.10.1.1 1.4 Statistical Assistant 15462 4 7.42 5.32 Approved existing 1 Statistical Assistant @ Rs. 17,020/-pm & 2 Statistical Assistants @ Rs. 13,650/- pm each (5% hike in the

existing salary of Rs 16206/-pm & 13000/-pm

respectively) for 12 months.

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One new position of Statistical Assis

References

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